Individual provider · NPI-1
Luis Vazquez
Dental Laboratory Technician · Colorado Springs, CO
NPI number1841010071
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1841010071
- Entity type
- Individual (NPI-1)
- Name
- Mr. Luis Vazquez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 13, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126900000X | Dental Laboratory Technician | 20181808745 | CO | Yes |
Practice location
2034 Devon StColorado Springs, CO 80909-1618
Phone 719-354-9403
Mailing address
2034 Devon StColorado Springs, CO 80909-1618
Phone 719-354-9403
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